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IRCT20190121042445N2 IRCT 2021-02-07 Medcare International Hospital Effects of muscle energy technique in patients with tension type headache on pain , range of motion and functional level Effects of muscle energy technique in patients with tension type headache on pain , range of motion and functional level 2640-09-23 anticipated 48 Pending https://irct.ir/trial/54101 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: A prospective randomized clinical trial study, Randomization description: Participants were selected through Non probability convenient sampling technique as per inclusion and exclusion criteria. Patients of TTH were randomly allocated into 2 equal groups (Group A=24 and Group B=24) and randomization was done by lottery method. N/A Tension type headache. Intervention 1: Intervention group; Muscle Energy Technique on upper trapezius The patient places in a moderate opposed exertion (20% of the accessible solidarity) to convey the decent shoulder to the ear (a shrug movement) and the ear to the shoulder. There ought to be a moderate level of duty and no uneasiness ought to be experienced. The compression goes on for 7-10 seconds and when the exertion is totally loose. Muscle energy technique on sternocleidomastoid Patient is approached to lift a little degree to the roof the completely turned head and to hold the breath. There is no requirement for the professional to apply opposition when the head is raised as this is adequately given by gravity. Between 7-1 0 seconds of isometric constriction, the patient is advised to discharge the exertion (and breath) bit by bit and position the head on the table so that there is a little level of expansion. Moist heating pad is applied for 10 minutes before each session. Protocol 2: Myofascial release technique on upper trapezius The muscle is put on a gentle leeway by moving the ear somewhat to the shoulder on a similar side with the patient recumbent, or presumably sitting. The whole mass of the upper trapezius is raised off the supraspinatus muscle and summit in a pincer grasp. The muscle at that point rolls firmly between the fingers and thumb to palpate for a knob and tight groups to discover Trigger point's spot delicacy. Treatment session longs for 10 minutes of myofascial release on each side. Myofascial release technique on sternocleidomastoid The patient sits in a low-upheld firm-sitting easy chair easily and loose with each hand's fingers snared under the seat or under the thigh. The patient's head might be supported in the administrator's hand to enable the patient to loosen up the neck muscles, with the administrator's head leaning against the administrator's arm or chest. The patient is encouraged to rest the administrator's head weight and utilize greatest profound stomach breathing, which likewise unwinds. Therapist applies pressure on trigger points located in sternal and clavicular divisions of muscle with pincer grip. Gradually increasing the pressure and releasing the trigger points one by one. This is followed by stretching of muscle by deep inhalation, rotation of head on opposite side and rotation of chin on same side. Treatment session longs for 10 minutes of myofascial release on each side. Intervention 2: Control group: Treatment applied in this group is myofascial release technique for upper trapezius and sternocleidomastoid muscle. This was applied in the same way mentioned in the protocol 2 of intervention no. 1. No - There is not a plan to make this available Justification or reason for not sharing IPD is Individual participant data will not be shared to others as it is my personal property
public Dr Akhtar
gujranwala
Gujranwala Pakistan 52200 +92 55 3732032 a.hunjra@gmail.com Medcare International Hospital scientific Dr Akhtar
Gill Road
Gujranwala Pakistan 52200 +92 55 3732032 a.hunjra@gmail.com Medcare International Hospital Pakistan Patients of both gender of age 18-40 years with diagnosis of ETTH and CTTH were included At least 10 episodes occurring on ≥1 day per month for at least 3 months Headache episodes lasting from 30 minutes to 7 days 18 years 48 years Both Patients with Headache that is aggravated by head movements, musculoskeletal and metabolic disorders with symptoms homogenous to headache (rheumatoid arthritis), previous neck trauma, Vertigo, dizziness, arterial hypertension, Malignancy, infection, trauma, bone deformities were excluded from the study. Treatment - Other Treatment - Other Intervention group; Muscle Energy Technique on upper trapezius The patient places in a moderate opposed exertion (20% of the accessible solidarity) to convey the decent shoulder to the ear (a shrug movement) and the ear to the shoulder. There ought to be a moderate level of duty and no uneasiness ought to be experienced. The compression goes on for 7-10 seconds and when the exertion is totally loose. Muscle energy technique on sternocleidomastoid Patient is approached to lift a little degree to the roof the completely turned head and to hold the breath. There is no requirement for the professional to apply opposition when the head is raised as this is adequately given by gravity. Between 7-1 0 seconds of isometric constriction, the patient is advised to discharge the exertion (and breath) bit by bit and position the head on the table so that there is a little level of expansion. Moist heating pad is applied for 10 minutes before each session. Protocol 2: Myofascial release technique on upper trapezius The muscle is put on a gentle leeway by moving the ear somewhat to the shoulder on a similar side with the patient recumbent, or presumably sitting. The whole mass of the upper trapezius is raised off the supraspinatus muscle and summit in a pincer grasp. The muscle at that point rolls firmly between the fingers and thumb to palpate for a knob and tight groups to discover Trigger point's spot delicacy. Treatment session longs for 10 minutes of myofascial release on each side. Myofascial release technique on sternocleidomastoid The patient sits in a low-upheld firm-sitting easy chair easily and loose with each hand's fingers snared under the seat or under the thigh. The patient's head might be supported in the administrator's hand to enable the patient to loosen up the neck muscles, with the administrator's head leaning against the administrator's arm or chest. The patient is encouraged to rest the administrator's head weight and utilize greatest profound stomach breathing, which likewise unwinds. Therapist applies pressure on trigger points located in sternal and clavicular divisions of muscle with pincer grip. Gradually increasing the pressure and releasing the trigger points one by one. This is followed by stretching of muscle by deep inhalation, rotation of head on opposite side and rotation of chin on same side. Treatment session longs for 10 minutes of myofascial release on each side. Control group: Treatment applied in this group is myofascial release technique for upper trapezius and sternocleidomastoid muscle. This was applied in the same way mentioned in the protocol 2 of intervention no. 1. Pain. Timepoint: baseline, 4th and 8th weeks since intervention. Method of measurement: Numerical pain Rating scale (NPRS). Range of motion. Timepoint: baseline, 4th and 8th weeks since intervention. Method of measurement: Inclinometer is used to assess cervical range of motion. Functional level. Timepoint: baseline, 4th and 8th weeks since intervention. Method of measurement: Headache disability index and headache impact test. Medcare International Hospital Approved 2640-09-22 Medcare International Hospital Nil Gujranwala Punjab Pakistan